Professional Summary
Overview
Work History
Education
Skills
Timeline

Kim Jones

Western Healthcare Alliance
Grand Junction,CO
16
years of professional experience

Accomplished medical billing professional with expertise in claims processing, insurance verification, cash posting, and HIPAA compliance. Proven ability to reduce claim denials and enhance revenue collection through meticulous attention to detail.

Work History

Medical Insurance Biller

8 Years 7 Months
Western Healthcare Alliance | 01.2018 - Current
  • Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
  • Increased revenue collection by proactively identifying and addressing billing discrepancies.
  • Streamlined claim processing for faster payments by maintaining accurate patient records and insurance information.
  • Shortened payment turnaround time by following up on outstanding claims and resolving issues promptly.
  • Reviewed patient information to ensure compliance with insurance policies.
  • Verified insurance of patients to determine eligibility.
  • Adhered to established standards to safeguard patients' health information.
  • Managed workload effectively between multiple payer types, resulting in consistent productivity levels across all assigned accounts.
  • Processed high volumes of cash postings with accuracy and attention to detail.

Medical Biller, Accounts Receivable

5 Years 2 Months
Monument Medical | 11.2012 - 01.2018
  • Managed accounts receivable collections, reducing outstanding balances through effective follow-up strategies.
  • Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
  • Processed medical claims using advanced billing software, ensuring accuracy and compliance with regulations.

Preschool Teacher's Assistant

1 Year 9 Months
Mesa County School District 51 | 08.2010 - 05.2012
  • Assisted teachers with classroom management and instructional activities to enhance student learning experiences.
  • Supported individualized education plans (IEPs) by collaborating with educators to meet diverse student needs.
  • Supported classroom management by maintaining a positive learning environment.

Education

High School Diploma

Central High School | Grand Junction, CO

No Degree - Medical Assistant

IntelliTec College | CO

Skills

Claims processing proficiency
Medical billing software proficiency
ICD-10 knowledge
Insurance verification
Payment posting
Claim review
HIPAA compliance awareness
Organizational growth
Teamwork and collaboration

Timeline

Medical Insurance Biller

Western Healthcare Alliance
01.2018 - CurrentRead More

Medical Biller, Accounts Receivable

Monument Medical
11.2012 - 01.2018Read More

Preschool Teacher's Assistant

Mesa County School District 51
08.2010 - 05.2012Read More

Central High School

High School Diploma
Read More

IntelliTec College

No Degree from Medical Assistant
Read More
Kim Jones